More bloods: Could not upload both pages sorry... - Thyroid UK

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More bloods

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Could not upload both pages sorry page 2

15 Replies
Marz profile image
Marz

Ah yes Doc thinks you are over-medicated due to the TSH result - SIGH ! It is incorrect to dose by your TSH and you are only over medicated if your T3 is over range - and it isn't. How do you FEEL ? You do not have to do what the Doc says :-)

in reply to Marz

I felt really bad since they dropped me down to 125 better on 150 but not right still but the sweats had started to get less body temp is still only ever 84.6 on waking if l sleep !l managed to get t3 in Greece and thought l might try adding 12.5 half a tab a day and see if that helps can't lose weight put it on if l diet soul destroying as we all know 🤔

SeasideSusie profile image
SeasideSusieRemembering in reply to

Rosebank

You shouldn't start T3 at 12.5mcg. Starting dose is 6.25mcg as it's quite a potent hormone and you need a couple of weeks on a 6.25mcg to see how you react to it.

Also, as mentioned in reply to your other thread, you haven't got results for TSH, FT4 and FT3 all tested at the same time.

Your FT3 here is 56% through range. If your FT4 is also a similar way through it's range then they are in balance and you convert well and you wouldn't need T3, you would just need an increase in Levo. So it's essential to test all3 at the same time before doing anything else.

As far as your Vit D goes, at 55nmol/L (22ng/ml) that was 5 months ago and it may have improved by now. However, at the time it was low. The Vit D Council recommends a level of 125nmol/L (50ng/ml) and the Vit D Society recommends a level of 100-150nmol/L (40-60ng/ml). You say in your other thread that you are taking 25mcg D3 which is 1000iu, that is just a maintenance dose for someone who already has a decent level and yours may not have improved much but you wont know unless you retest.

To reach the recommended level from your February level, based on the Vit D Council's suggestions you should have supplemented with 4,000iu D3 daily

vitamindcouncil.org/i-teste...

then retested after 3 months.

When you've reached the recommended level then you'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

There are important cofactors needed when taking D3 as recommended by the Vit D Council -

vitamindcouncil.org/about-v...

D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking tablets/capsules/softgels, no necessity if using an oral spray

Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.

Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking tablets/capsules, no necessity if using topical forms of magnesium.

naturalnews.com/046401_magn...

thefamilythathealstogether....

drjockers.com/best-magnesiu...

Check out the other cofactors too (some of which can be obtained from food).

in reply to SeasideSusie

Thank you Seaside Susie lots of great information .

Emyloulou profile image
Emyloulou

The one thing that really stands out to me is your cortisol level. A level of 27 even at 1pm is very low, have they said anything about it?

in reply to Emyloulou

No nothing should l question this and what might it mean to me ?

Emyloulou profile image
Emyloulou in reply to

It’s way to low and you definitely need it repeated at 9am at the very least.

in reply to Emyloulou

The bloods were taken at 8.30 am

Emyloulou profile image
Emyloulou in reply to

That’s dreadful then!!! I’d be on my knees with a figure like that. A level like that is usually an automatic diagnosis for adrenal insufficiency, at the very least I would think it warrants further testing URGENTLY. Mine was just over 200 but I was still ultimately diagnosed with adrenal insufficiency following an SST. I was very symptomatic though.

Do you feel ok?

in reply to Emyloulou

Well the reason l asked to see an Endio was because l was feeling so bad, weight gain , could not lose weight, 4 hours sleep if lucky, low body temp shortness of breath, hair, nails, skin aches and pain swollen ankles,foot pain the list goes on., however since the increase to 150 from 125 l had been feeling slightly better no tingling etc but she now tells me l am over medicated, her comments on cortisol levels were that they have come down appropriately and my body is not making too much steroid ?

Emyloulou profile image
Emyloulou in reply to

I really think you need to speak to them about it. Before I started taking hydrocortisone I lost a lot of weight, was really shaky, low bp and blood sugar, I was constantly nauseous, awful headaches and just generally felt incredibly ill. Do you have any ranges? Just in case I’m reading it wrong

in reply to Emyloulou

Serum Cortisol just says nmol/l*<27 ?

Emyloulou profile image
Emyloulou in reply to

It wasn’t tested as part of a dexamone suppression test was it?

If it was just a normal blood test not part of any test it’s way to low. The following has come from the lab handbook that my endocrinologist uses

For suspected adrenal failure, a 9 am cortisol is a useful screening test. Below 170 nmol/L is very concerning. Above 420 nmol/L normally excludes adrenal failure. Above 320 nmol/L makes adrenal failure unlikely if no strong clinical concern. If in doubt, discuss with an endocrinologist.

in reply to Emyloulou

Great minds l had just looked up the tablet l had to take which was

dexamethasone So yes it was so I guess l don't have Cushings but will discuss, thank you so much for your help and time all of you we are very blessed to have this site 😊🙏🏻

Emyloulou profile image
Emyloulou in reply to

That explains it then!

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